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Gut Microbiome Enzymes refer to the extensive array of catalytic proteins encoded by the collective genomes of the human gut microbiota [5, 10]. These enzymes play a fundamental role in human health by facilitating the digestion of complex carbohydrates, synthesizing essential vitamins like K and B12, and modulating the host's immune and metabolic systems [11, 13]. However, specific microbial enzymes are also linked to the development of diseases; for example, microbial trimethylamine (TMA) lyases contribute to cardiovascular disease by producing TMA, which is later converted to the pro-atherogenic metabolite TMAO [12, 19]. Additionally, enzymes like beta-glucuronidase can interfere with drug safety by reactivating glucuronidated drug metabolites in the gut, causing localized toxicity [4, 7]. Because of their significant impact on host physiology and pharmacology, gut microbiome enzymes are increasingly viewed as viable therapeutic targets [3, 15]. Current and emerging strategies involve using small-molecule inhibitors to selectively block harmful enzymatic activities or utilizing microbial enzymes to activate prodrugs [1, 19]. This targeted approach aims to treat metabolic, inflammatory, and oncological conditions while minimizing the broad ecological disruption typically associated with traditional antibiotics [6, 15]. By focusing on specific enzymatic pathways, researchers hope to develop precision therapies that modulate the chemical output of the microbiome for improved patient outcomes [5, 9].
Selective inhibition of microbial enzymes to prevent toxic metabolite formation, prodrug activation via microbial cleavage, and modulation of host metabolic pathways through altered microbial metabolite production [1, 4, 7, 19].
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